Application of IMEWS scoring method in treatment of wounded in road traffic accidents

Abstract

Objective To investigate the value of IMEWS method in assessing the condition of trauma patients in pre-hospital accident scene. Methods A retrospective analysis of 2 243 cases of road traffic injuries with pre-hospital treatment in emergency department of Zhenjiang Emergency Center in Zhenjiang City, Jiangsu Province was conducted and evaluated by TIEWS scoring method. Of the 2 243 patients, 1 239 were male (55.2%) and 1 004 (44.8%) were women, ranging in age from 18 to 97 years with a mean age of (47.3±11.2) years. Among all the patients, the patients in the age group of 31-40 years old were the most (642 cases) (28.6%), followed by the patients aged 41-50 years (576 cases) (25.7%). The limb injury patients were 1 336 cases (59.6%) and the traumatic brain injury (TBI) patients were 1 021 cases (45.5%).1 683 cases (75.0%) had IMEWS score <6, 472 cases (21.0% ) had IMEWS score ≥6 and <12 , only 88 cases (3.9%) had IMEWS score ≥12 points. By a different scores corresponding to the patient's whereabouts after hospitalization and the prognosis of illness, we draw its relationship with the disease. Results The number of patients receiving IMEWS score 0.05). Patients with IMEWS score 0.05). Conclusion IMEWS method can be used to determine the severity of illness in patients with traumatic injury and has the ability to identifypotentially critically ill patients. Key words: Road traffic accident; Trauma; modified early warning score(MEWS); Pre-hospital care